Typically, we would have the Final Rule updates to the Inpatient Prospective Payment System (IPPS) for the 2021 fiscal year (FY) 60 days prior to its effective date. However, this year, citing the COVID-19 public health emergency (PHE), publication was delayed. The final rule was published on September 1, or 30 days before the effective date.
On August 4, the Centers for Medicare & Medicaid Services (CMS) released the Changes to Hospital Outpatient Prospective Payment System (OPPS) for the 2021 calendar year (CY). The proposed regulations were published in the Federal Register on August 12, and comments are due by October 5.
You’re invited to join us in September on Thurs. September 17th, and Thurs. September 24th, for two complimentary live webinars to get up-to-speed on the OPPS Proposed Rule CY2021 and the IPPS Final Rule for FY2021. Register today to make sure you will have the information needed to prepare for the coding and regulatory updates.
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Panacea’s consultants have been closely monitoring both Centers for Medicare and Medicaid Services (CMS) and American Medical Association (AMA) published guidance for newly created codes for billing during the COVID-19 public health emergency (PHE). Since February 2020, there have been many new codes added for COVID testing and specimen collection.
On July 28, 2020, CMS released a new FAQ for Hospital Billing for Remote Services (Section LL) and expanded the FAQ for Outpatient Therapy Services (Section MM) in the COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing document.
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Beginning July 1, Medicare will require prior authorization for five procedure classes: blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, and vein ablation. As a reminder, prior authorization was announced through the Calendar Year 2020 Outpatient Prospective Payment System/Ambulatory Surgical Center Final Rule (CMS-1717-FC).
https://insights.panaceainc.com/wp-content/uploads/2020/06/shutterstock_1071145250-1.jpg363544Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2020-08-09 07:33:382020-08-10 07:27:53What Radiology Practices Need to Know About Medicare’s Prior-Authorization Requirements
Over the last several months we’ve seen an uptick in requests from clients nationwide for help reconciling laboratory orderables to chargemasters. In case you’re in this same boat, we wanted to provide some insight into the steps you should be taking.
https://insights.panaceainc.com/wp-content/uploads/2019/10/medicine-doctor-with-stethoscope-using-tablet-and-medical-icon-on-picture-id1023232666-1.jpg479566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2020-07-26 11:06:142020-07-29 08:52:58Are You Reconciling Your Laboratory Orderables to Your Chargemaster? A How-To in 4 Steps
I’m sure everyone has heard the saying, “the only constant is change.” Well, it certainly rings true these days. The Centers for Medicare & Medicaid Services (CMS) issued a second interim final rule on April 30, offering another round of coding and documentation updates related to telehealth during the public health emergency.
https://insights.panaceainc.com/wp-content/uploads/2020/07/patient-doctor-online-consultation-picture-id1214753465.jpg400544Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2020-07-15 06:59:432020-07-29 08:48:10Relaxing Rules for Telehealth